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Organization
SOMOS WELLNESS COUNSELING
Active
Organization
SOMOS WELLNESS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER P ORTEGA LCSW (OWNER)
(804) 877-3219
Entity
Organization
Contact information
Practice address
5809 LAKESIDE AVE STE G1C, HENRICO, VA 23228-5746
(804) 877-3219
Mailing address
2415 BOYLE AVE, RICHMOND, VA 23230-2325
(804) 833-0192
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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